Psychopharmacology [Instructor name] [Class name section number] Overview • • • • • Introduction Pharmacokinetics Drug Administration Drug Metabolism Treatment Approaches – Discussion • Special Populations and Psychopharmacology • Activity Introduction Psychoactive Drugs Communication between neurons Neurotransmitter Activity Agonists – increase Antagonists – decrease Side Effects Overview • • • • • Introduction Pharmacokinetics Drug Administration Drug Metabolism Treatment Approaches – Discussion • Special Populations and Psychopharmacology • Activity Pharmacokinetics Drug effects in the body Absorption Distribution Metabolism Excretion Overview • • • • • Introduction Pharmacokinetics Drug Administration Drug Metabolism Treatment Approaches – Discussion • Special Populations and Psychopharmacology • Activity Drug Administration Absorption Slowest: Oral Fastest: Intravenous/Inhalation Rapid Absorption = high abuse potential Overview • • • • • Introduction Pharmacokinetics Drug Administration Drug Metabolism Treatment Approaches – Discussion • Special Populations and Psychopharmacology • Activity Drug Metabolism Liver enzymes Repeated exposure Tolerance Enzyme induction Dangers of grapefruit juice Overview • • • • • Introduction Pharmacokinetics Drug Administration Drug Metabolism Treatment Approaches – Discussion • Special Populations and Psychopharmacology • Activity Treatment Approaches Pharmacology + Therapy = Most Effective Medication can be problematic due to individual variations. Discussion What is the best treatment for depression? Overview • • • • • Introduction Pharmacokinetics Drug Administration Drug Metabolism Treatment Approaches – Discussion • Special Populations and Psychopharmacology • Activity Juveniles and Psychopharmacology High prevalence Increase in diagnoses Difficult to prescribe and research The Elderly and Psychopharmacology Rapidly aging population Polypharmacy Risks Overview • • • • • Introduction Pharmacokinetics Drug Administration Drug Metabolism Treatment Approaches – Discussion • Special Populations and Psychopharmacology • Activity SSRIs, Suicidality, Violence, and Mania Why doesn’t everyone just take a “happy pill”? Serious side-effects What are other barriers to drug therapies? Medication Adherence Easy as can be… right? Diagnosis: HIV Treatment: Kool-Aid packets/tic-tac mints Must adhere to the assigned treatment protocol What will make treatment easier/harder? Photo Attribution Slide 1 Slide 5 Slide 9 Slide 11 Slide 11 Slide 11 Slide 11 Slide 11 Slide 11 Slide 12 Slide 14 Slide 15 Slide 17 Slide 18 Photo Credit: Seth Anderson http://www.flickr.com/photos/44124372363@N01/7752724816 https://creativecommons.org/licenses/by-sa/2.0/ Photo Credit: anitacanita https://www.flickr.com/photos/86508273@N00/631386556/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Photo Credit: Eme. http://pixabay.com/en/grapefruit-rose-sour-fruit-343615/ Photo Credit: Barack Obama https://www.flickr.com/photos/94975828@N00/6774968388/ https://creativecommons.org/licenses/by-nc-sa/2.0/ Photo Credit: torbakhopper HE DEAD https://www.flickr.com/photos/gazeronly/129649817/ https://creativecommons.org/licenses/by/2.0/ Photo Credit: Jobopa https://www.flickr.com/photos/43904604@N06/13041631074/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Photo Credit: Otabi kitahachi https://www.flickr.com/photos/otabi/3947682278/ https://creativecommons.org/licenses/by-nc-sa/2.0/ Photo Credit: paolovalde https://www.flickr.com/photos/35034358028@N01/2581632664/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Photo Credit: liber https://www.flickr.com/photos/51035655291@N01/200858281/ https://creativecommons.org/licenses/by-sa/2.0/ Photo Credit: Alan Cleaver https://www.flickr.com/photos/11121568@N06/4102645583/ https://creativecommons.org/licenses/by/2.0/ Photo Credit: Rosie O'Beirne http://www.flickr.com/photos/rosieobeirne/4090200924/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Photo Credit: WarzauWynn https://www.flickr.com/photos/94246031@N00/4416203874/ https://creativecommons.org/licenses/by-nc/2.0/ Phot Credit: Sharon Drummond http://www.flickr.com/photos/28085418@N07/5159112853 https://creativecommons.org/licenses/by-nc-sa/2.0/ Photo Credit: Auntie P https://www.flickr.com/photos/32625013@N00/3177877243/ https://creativecommons.org/licenses/by-nc-sa/2.0/